Abstract
The objective of this integrative review was to analyze the scientific production in nursing on prognostic indices in clinical practice in intensive care. A search of Medline (Retrieval System Online and Medical Literature Analysis), PubMed (National Library of Medicine) and Scopus (Elsevier) resulted in 12 articles, which were analyzed considering the following thematic categories: Prognostic indices for severity assessment in critical patients; and Prognostic indices as guiding instruments of clinical practice and nursing care management in the ICU. It was inferred that using prognostic indices in clinical practice and in care management remains incipient, but is growing in nursing. Nevertheless, there is a greater utilization of indices particular of nursing (TISS-28; NAS). The latter are a starting point to quantify and qualify the delivered care, and are useful tools for material human resource management, as they allow for incorporating scientific-technological evidence that are required for delivering care to critical patients. Descriptors: Nursing; Severity of Illness Index; Nursing Care; Intensive Care; Prognosis.
Highlights
The objective of this integrative review was to analyze the scientific production in nursing on prognostic indices in clinical practice in intensive care
It was inferred that using prognostic indices in clinical practice and in care management remains incipient, but is growing in nursing
The latter are a starting point to quantify and qualify the delivered care, and are useful tools for material human resource management, as they allow for incorporating scientific-technological evidence that are required for delivering care to critical patients
Summary
Índices prognósticos na prática clínica de enfermagem em terapia intensiva: revisão integrativa. Índices pronósticos en la práctica clínica de enfermería en terapia intensiva: revisión integrativa. RESUMO Trata-se de revisão integrativa objetivando analisar a produção científica de Enfermagem sobre índices prognósticos na prática clínica em Terapia Intensiva. Selecionaram-se 12 artigos para análise, nas seguintes categorias temáticas: Índices prognósticos para avaliação da gravidade de pacientes assistidos em UTI; e Índices prognósticos como instrumentos norteadores da prática clínica e do gerenciamento do cuidado de Enfermagem em UTI. Inferiu-se que o uso de índices prognósticos na prática clínica e no gerenciamento do cuidado é incipiente, porém crescente na Enfermagem. Entretanto, há maior apropriação dos índices que lhe são próprios (TISS-28; NAS). Descritores: Enfermagem; Índice de Gravidade de Doença; Cuidados de Enfermagem; Terapia Intensiva; Prognóstico
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